Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,630.27	Professional		$1,202.26	$1,445.44	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,905.46	Professional		$1,288.25	$1,445.44	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,090.30	Professional		$1,148.15	$1,548.82	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,398.83	Professional		$1,174.90	$1,348.96	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,691.53	Professional		$1,096.48	$1,513.56	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,819.70	Professional		$1,000.00	$1,380.38	$1,819.70